17D2182348 CLIA NUMBER - PRICE CHOPPER PHARMACY #40

Laboratory Demographics

  • CLIA Code: 17D2182348
  • Facility Name: PRICE CHOPPER PHARMACY #40
  • Facility Address: 15970 S MUR LEN RD
    OLATHE, KS
    ZIP 66062
  • Facility Phone: 913 393-8050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. HALLIWELL
  • NPI Number: 1790953990
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2182348
LAB Type Pharmacy
Facility Name PRICE CHOPPER PHARMACY #40
Street 15970 S MUR LEN RD
City OLATHE
State KS
ZIP 66062
Phone 913 393-8050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Pharmacy
Lab Director MICHAEL T. HALLIWELL

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This page was last updated on: 9/29/2025